How Health Self-Efficacy Affects Physical Activity Among Chinese Adults with Different COVID-19 Experiences: The Mediating Role of Health Information Technology Use.

IF 3 3区医学 Q1 COMMUNICATION

Health Communication Pub Date : 2025-07-07 DOI:10.1080/10410236.2025.2526020

Yingxia Zhu, Yuyuan Kylie Lai, Qingqing Xie, Jiazheng Wang, Fei You, Xinshu Zhao

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引用次数: 0

Abstract

The COVID-19 pandemic has profoundly impacted global health. Considering the benefits of physical activity (PA) for improving health, this study focuses on enhancing PA among groups with different COVID-19 experiences. Guided by self-efficacy and self-regulation theories, this study examines how health self-efficacy (HSE) increases PA, with using health information technology (IT) for self-regulation serving as a mediating factor across three groups: uninfected (Group 1), infected without symptoms (Group 2), and infected with symptoms (Group 3). Specifically, this study investigates the moderating role of COVID-19 experiences in the indirect effects of HSE on PA through health IT use. Additionally, we conduct supplementary multiple comparisons of HSE across different groups. An online survey was conducted among 5,516 Chinese adults, with data analyzed using ANOVA and structural equation modeling (SEM). The findings revealed the mediating role of health IT use. Moreover, the interaction effect of HSE and adults with post-COVID symptoms (vs. adults without COVID-19 infection) on using health IT for self-regulation was significant. Differences in HSE were found across groups, with the highest level observed in Group 2.

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健康自我效能感如何影响不同COVID-19经历的中国成年人的身体活动：健康信息技术使用的中介作用

2019冠状病毒病大流行深刻影响了全球卫生。考虑到体育活动（PA）对改善健康的益处，本研究侧重于增强不同COVID-19经历人群的PA。在自我效能和自我调节理论的指导下，本研究探讨了健康自我效能（HSE）如何增加PA，并将健康信息技术（IT）作为自我调节的中介因素，在三组中：未感染（1组）、无症状感染（2组）和有症状感染（3组）。具体而言，本研究通过健康IT使用调查了COVID-19经历在HSE对PA的间接影响中的调节作用。此外，我们还对不同组间的HSE进行了补充的多重比较。该研究对5516名中国成年人进行了在线调查，并使用方差分析和结构方程模型（SEM）对数据进行了分析。研究结果揭示了医疗信息技术使用的中介作用。此外，HSE与有COVID-19后症状的成年人（与未感染COVID-19的成年人）在使用健康IT进行自我调节方面的交互作用显著。各组之间的HSE水平存在差异，以第2组最高。

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来源期刊

Health Communication Multiple-

CiteScore

8.20

自引率

10.30%

发文量

184

期刊介绍： As an outlet for scholarly intercourse between medical and social sciences, this noteworthy journal seeks to improve practical communication between caregivers and patients and between institutions and the public. Outstanding editorial board members and contributors from both medical and social science arenas collaborate to meet the challenges inherent in this goal. Although most inclusions are data-based, the journal also publishes pedagogical, methodological, theoretical, and applied articles using both quantitative or qualitative methods.